CANADA
PROVINCE OF QUÉBEC
COURT OF APPEAL ________________________________
REGISTRY OF __________
No.: __________ ________________________________
First Instance
No.: __________
Appellant
v.
Respondent
________________________________
Certificate attesting to the abandonment of an appeal
I, the undersigned, _________________________, Deputy Clerk of the Court of Appeal,
hereby certify that I have on this day recorded the default of the appellant to
file a factum within the time limit prescribed in the Code of Civil Procedure
and in the Rules of Practice of the Court of Appeal in Civil Matters, and I
therefore issue and file this certificate stating that the appeal is abandoned,
with costs, as of ______________________________ , __________.
Signed at ____________________, on this _____ day of ____________________, ______ .
Deputy Clerk
Court of Appeal